PEACH Membership Form

Name

Mobile Phone

Home Phone

Email *

Additional email address to log in to Google Drive for PEACH Documents:

Address *

manageMemberFields.fields.AddressLine

common.city

common.area

manageMemberFields.fields.ZipCode

Upload a Family Photo for the Directory

I am joining/renewing because (check all that apply)

I need overall homeschool support

I plan to attend some of the support group meetings

My teens plan to participate in some of the teen events

I want to take my children on some of the field trips

I want additional options for interactions with homeschool families

We plan to participate in graduation in the next two years (see graduation policy at https://peachva.org/graduation-policy)

I formerly homeschooled and I want to support PEACH

Other (please specify below)

I am committing to: *

Pray for PEACH, our member families, and local homeschooling community on a regular basis.

Attend at least one PEACH meeting or event Sept-May (see https://peachva.org/activities-events)

It takes all hands to make PEACH work. Each member is expected to join and contribute to a working group (committee) to plan and carry out the PEACH activities and remain a member. Please check which working group(s) you commit to meeting with and assisting during this year: *

Member Gathering/Meeting Planning

Field Trip Planning

Teen Event Planning/Chaperone/Helper

Mom's Night Out Planning

Recess Planning

Required for Families of Juniors: Help with Graduation Cleanup (1st Sat in June) + one other group

I am interested in Coordinating a working group (those listed above - see https://peachva.org/members/coordinators)

I am already a Coordinator and will continue (note which working group below)

Which Working Group are you willing to be considred as the Coordinator for?

Which Working Group Coordinator or other role are you already the filling?

I am open to the possibility of serving on the PEACH Board in the future

Yes - Open to a Board Role

Other COOPs and Organizations:

I am or plan to be a member of another Homeschool Group or Co-Op in the coming year.

Date Family Members Last Updated (please update to TODAY's date) *

I have a student who plans to complete their Junior year between August 2025 and June 2026.). *

Yes

I have a student who plans to complete their Senior year between August 2025 and June 2026. *

Yes

Father's First Name

Father's Last Name

Child 1 Name

Child 1 Birth Month/Year (MM-YYYY)

Child 1 Grade *

Legal Agreement

I agree with the above referenced Liability Statement, Code of Conduct, Attendance Policy, Graduation Policy, Electronic Communications Policy, and the Peach By-Laws - all of which may be changed from time to time according to the process set forth in the ByLaws. My agreement may not be revoked or rescinded as long as I am a member of PEACH. *common.clear

IMPORTANT: This form is only valid for 24 hours. Your request for membership will only be considered if dues are paid online (or a check mailed) within 24 hours. See next page or https://peachva.org/dues for dues amount and payment instructions. *

I will pay online within 24 hours for my membership request to be considered.

I will mail a check within 24 hours (to arrive within 7 days) for my membership to be considered.

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PEACH Membership Form

Legal Agreement